WQ0007507_Monitoring - 04-2020_20200508 (2)

GW-59A COMPLIANCE REPORT FORM Permit # WQ0007507
(Submit one each monitoring period with GIi'-59 forwrs)
C
Enter date monitoring results were due. ( 4130120 ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
IF the answer to question 1 or 2 is "YES', list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for gzridance.
✓
4
Are any monitored constituents equal to or above the established standards?
YES
NO
✓
If the answer to question 4 is "NO", skip to section B.
If the answer to question 4 is "YES" list the affected wells individually with constituents) and concentration(s)
exceeding standards in the space provided below:
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8,
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
T'ES
NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located, contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Re ional Office within 90 days: an evaluation may be
required to determine the impact the waste disposal s stem is having at the review and compliance
boundaries surrounding this facilit . Failure to do so may subject the permittee to a Notice of Violation
fines, and/or penalties.
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GW-59A) is true and complete to the best of my knowledge.
Sparty Hammett �i47r- 5 r l— =;
Signature of Permittee (or Autho �g'nt) Date
C1N-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
E=1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please PrintCfea4yorType
PERMIT Number: Expiration Date: Der -ember 31, 2021
Facility Name: Pasquotank County Industrial Park
Non -Discharge WQ0007507 UIC
Permit Name (if different):
NPDES Other
Facility Address: P.O. Box 39
TYPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑Remediation: Infiltration Gallery
Elizabeth City ``tr",A, NC 27909 CountyPas q uotank
11't'' "'"
"'
❑■ Spray Field ❑ Remediation:
Contact Person: Michael L. Harris
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: WWTP-Northside Road
No. of wells to be sampled: 6
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 04/23/20
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH o0400: 5.6 units Temp. com: °C
DRY at
Depth to Water Level 82546: 5-24 ft. below measuring point Screened Interval: 15 ft.
to 20 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: 13.53
ft. Odor 000a5:
check
Volume of water pumped/bailed before sampling:
2.5
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Environment 1,
Inc. Certification No. 1D
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N oo615
mglL Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 c1
11OOmL
Nitrate (NO3) as N 00620 <0.04
mglL Zn -Zinc 01092 mglL
Conform: MF Total 31504
110OmL
Phosphorus: Total as P oo665 0.18
mg/L
(Note, Use MPN method for highly turbid samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 152
mg/L
Al - Aluminum o11o5
mglL
pH (Lab) 00403
units
Ba - Barium 01007
uglL
TOC oo68o 5.48
mg/L
Ca - Calcium 00916
mglL
Chloride 00940 17
mglL
Cd - Cadmium 01027
ug/L
Arsenic e1002
uglL
Chromium: Total 01034
ug/L
Grease and Oils 00552
ni
Cu - Copper 01042
1 ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate OC945
mg/L
Hg - Mercury 719DO
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance oco95
µMhos
K - Potassium 00937
mg1L VOC 78732: method #
Total Ammonia 00610 0,09
mglL
Mg - Magnesium 00927
mglL method #
(Ammonia Nitrogen; NHjas N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
uglL , method #
TKN as N 00625
rri
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg1L Effluent Total VOCs: i VOC Removal%
Sparty Hammett, County Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
(or Authorized Agent)
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: December 31, 2021
Facility Name: Pasquotank County Industrial Park
Non -Discharge WQ0007507 UIC
Permit Name (if different):
NPDES Other
Facility Address: P.O. Box 39
TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City"'' "°" NC
27909 County Pasquotank
❑■ Lagoon ❑ Remediation, Infiltration Gallery
iv, "`''''
■❑ Spray Field ❑ Remediation:
Contact Person: Michael L. Harris
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: WW fP-Northside Road
No. of wells to be sampled: 6
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): M1N-2
Date sample collected: 04/23/20
FIELD ANALYSES:
WAS
Well Depth: 18 ft.
Well Diameter: 2 in.
pH 00400: 6.3 units Temp. 00010: °C
DRY at
Depth to Water Level 82546:7.70 ft. below measuring point Screened Interval: 15 ft.
to 20 ft. Spec. Cond. 00094: pMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: 12.85
ft. Odor ooe85:
check
Volume of water pumped/bailed before sampling:
2.0
gallons
Appearance
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Environment 1, Inc. Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg1L Pb - Lead o1o51 uglL
Coliform: MF Fecal 31616 <1
11OOmL
Nitrate (NO.) as N 00620 0.39
ni Zr - Zinc 01092 mglL
Coliform: MF Totaf 31504
11OOmL
Phosphorus: Total as P 00665 <0.04
mglL
(Note use MPN method for highly turbid samples)
Orthophosphate 70507
ni Other (Specify Compounds and Concentration Units):
issolved Solids.Totai 70300 308
mg/L
At -Aluminum o1105
mg1L
pH (Lab) 00403
units
Ba - Barium 01007
ug1L
TOC 0066D 1.21
mglL
Ca - Calcium oog16
mglL
Chloride 0094D 88
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
uglL
Chromium: Total 01034
uglL
Grease and Oils 00552
mglL
Cu - Copper 01042
mglL ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
pMhos
K - Potassium 00937
mglL VOC 7873Z method #
Total Ammonia ooslo <0.04
mg/L
Mg - Magnesium 00927
mglL method #
(Ammonia Nitrogen. NH3as IN Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625
mg1L
Ni - Nickel 01067
ug1L method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs: ri Effluent Total VOCs: mglL VOC Removal%
Sparty Hammett, County Manager
Permittee (or Authorized Ageni Name and Title -Please print or type
(or Authc zzed Agent)
i -
(Date)
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
N21
DI VISION OF WATER QUALITY•INFORMATIONPROCESSINGUNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone! [phone]
FACILITY INFORMATION
PleasePrrnfCfeanyorType
PERMIT Number: Expiration Date: December 31, 2021
Facility Name: Pasquotank County Industrial Park
Non -Discharge W00007507 UIC
Permit Name (if different):
NPDES Other
Facility Address: P.O. Box 39
TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth Cityr6trce" NC
27909 County Pasquotank
❑■ Lagoon ❑Remediation: Infiltration Gallery
K,''' ' `''`P'
�'r''
0 Spray Field ❑ Remediation:
Contact Person: Michael L. Harris
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: WVVf P-Northside Road
No. of wells to be sampled: 6
❑ Water Source Heat Pump ❑ Other:
(From Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected: 04/23/20
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH ooaaa: 6.4 units Temp. 00010 °C
DRY at
Depth to Water Level 32546: 4.20 ft. below measuring point Screened Interval 15 ft. to
20 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation; 11.11 ft.
Odor Doom
check
Volume of water pumpedibailed before sampling:
2.5
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Environment 1, Inc.
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N aoa15
mg1L Pb - lead o1o51 Ug1L
Coliform: MF Fecal 316ts <1
1100mL
Nitrate (NO3) as N 00620 1,68
mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved SoWs:Total 7moo 302
mg[L
Al - Aluminum a11o5
mglL
PH (Lab) 00403
units
Ba - Barium 01007
uglL
TOC co6so 1-16
mgi
Ca - Calcium co916
mg1L
Chloride 00940 67
mgIL
Cd - Cadmium 01027
uglL
Arsenic 015D2
uglL
Chromium: Total 01034
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug1L (Specify test and method #. ATTACH LAB REPORT,)
Sulfate oo945
mg/L
Hg - Mercury 7190o
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 000lo <0.04
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH,as N: Ammonia Nitrager Total)
Mn - Manganese 01o55
ug1L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Sparty Hammett, County Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YFLLOW PAPER ONLY
❑EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please PnntCleadyorType
PERMIT Number: Expiration Date: December31, 2021
Facility Name: Pasquotank County Industrial Park
Non -Discharge WQ0007507 UIC
Permit Name (if different):
NPDES Other
Facility Address: P.Q. Box 39
TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City `'tr`�t' NC
27909 County Pasquotank
0 Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
Contact Person: Michael L. Harris
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: WNlfP-Northside Road
No. of wells to be sampled: 6
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 4
Date sample collected: 04/23/20
FIELD ANALYSES:
WAS
Well Depth: 20 f{.
Well Diameter: 2 in.
pH 00400: 6.4 units Temp. 00o1o: °C
DRY at
Depth to Water Level 82546:4.00 ft. below measuring point Screened Interval: 15 ft.
to 20 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: 10.65
ft. Odor 0o085:
Volume of water pumpedlbailed before sampling:
3.0
gallons
Appearance
here ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Environment 1,
Inc. Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD oosm
mg/L
Nitrite (NO2) as N 00ii
rng/i Pb - Lead 01051 uglL
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 1.55
mg/L Zn -Zinc 01092 mg1L
Coliform: MF Total 31504
1100ml-
Phosphorus: Total as P 0os65 <0.04
ni
(Note, Use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7o3oo 262
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
11
TOC Como 1.70
1
Ca - Calcium co91s
mg/L
Chloride 0094o 52
ri
Cd - Cadmium 01027
11
Arsenic 01002
i
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg1L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 000ss
pMhos
K - Potassium oo937
mg1L VOC 78732 method #
Total Ammonia oo610 0.06
mglL
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen. NH, as N. Ammonia Nitrogen. Total)
Mn - Manganese 01055
ug1L method #
TKN as N 00625
mg1L
Ni - Nickel 01067
uglL method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total Vi _ ni Effluent Total VOCs: mg/L VOC Removal%
Sparty Hammett, County Manager - w) .--
Permittee (or Authorized Agent) Name artd Title - Please print or type Sig to f ermittee (or Authorized Agent) (Date}
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
• +
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • +
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please PnntCfeartyorType
PERMIT Number, Expiration Date: December31, 2021
Facility Name: Pasquotank County Industrial Park
Non -Discharge WQ0007507 UIC
Permit Name (if different):
NPDES Other
Facility Address: P.O. Box 39
TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City `"j e"' NC
27909 Count Pas
y q Uotank
❑■ Lagoon ❑Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: Michael L. Harris
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: WWTP-North side Road
No. of wells to be sampled: 6
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 04/23/20
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.2 units Temp. 00010: °C
DRY at
Depth to Water Level 82546: 5.30 ft. below measuring
point Screened Interval: 15 ft. to
20 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: 10.65 ft,
Odor 00085:
Volume of water pumped/bailed before sampling:
2.5
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Environment 1, Inc.
Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD DD335
mglL
Nitrite (NO2) as N oo615
mg1L Pb - Lead n1o51 ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N a0620 0.24
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P oo6m <0.04
mg1L
(Note, Use MPN rnetnoa for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 209
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.48
mg/L
Ca - Calcium OC916
mg/L
Chloride 00940 42
mg1L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total 01034
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L. ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance coam
VMhos
K - Potassium 00937
mg/L VOC 75732: method #
Total Ammonia oaslo <0.04
mg/L
Mg - Magnesium ao927
mg)L method #
(Ammonia Nitrogen, NH3as N. Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Sparty Hammett, County Manager1"")--S 7--
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of r ittee (or Aulhorized Agent) (Date)
GW-59 Rev.212010 "

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print CleariyorType
PERMIT Number: Expiration Date: December 31,2021
Facility Name: Pasquotank County Industrial Park
Non -Discharge WQ0007507 UIC
Permit Name (if different):
NPDES Other
Facility Address: P.O. Box 39
TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City `""4' NC
27909 Count Pas
y q uotank
1
❑ Lagoon ❑Remediation: Infiltration Gallery
r'
■❑ Spray Field ❑ Remediation:
Contact Person: Michael L. Harris
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: WWfP-Northside Road
No. of wells to be sampled: 6
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-6
Date sample collected: 04123/20
FIELD ANALYSES:
WAS
Well Depth: 18 ft.
Well Diameter: 2 in.
H 00400: 5.5
p units Temp ao010 C
DRY at
Depth to Water Level 82545:7.86 ft. below measuring
point Screened Interval: 15 ft.
to 20
ft. Spec. Cond. 00094 p,Mhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: 14.64
ft.
Odor oom5:
sampling,check
Volume of water pumped/bailed before sampling:
2.0
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name; Environment 1,
Inc.
Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD C0335
ni
Nitrite (NOS) as N 00615
ni
Pb - Lead 01051 ug /L
Coliform: MF Fecal 3161s <1
/100mL
Nitrate (NO3) as N 00620 0.35
mg/L
Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 109
ni
Al - Aluminum o11os
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug1L
TOC 00680 1.83
ni
Ca - Calcium oosi6
ri
Chloride 00940 11
ni
Cd - Cadmium 01027
uglL
Arsenic 61002
ug1L
Chromium: Total 01034
Ug1L
Grease and Oils 605b2
ni
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 60937
nri
VOC 78732: method #
Total Ammonia 00610 <0-04
mg/L
Mg - Magnesium 60927
ni
method #
(Ammonia Nitrogen. NH. as N, Ammonia Nitrogen, Total)
Mn - Manganese o105s
Ug1L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug1L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Sparty Hammett, County Manager
Permittee (or Authorized Agent} Name and Title - Please print or type
ni Effluent Total VOCs:
ived methods of analysis by a
GW-59 Rev_ 212010